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患者,男,33岁,农民。住院号11589。1988年12月右内眦部局限性隆起及同侧视力模糊,一周后自行好转。近半个月来复发,以“右泪囊囊肿”入院。查:视力右0.3,左1.5。眼球突出度右16mm,左11mm。右眶内侧一3×3cm~2之局限隆起。眼球运动不受限。黄斑区可见放射状水肿,纹理不清,中心区反射消失。x 片示双侧上颌窦,筛窦密度增高,右筛窦区扩大。右侧“中鼻甲肥大”,其附近有脓液附着。鼻中隔骨部左偏。筛窦占位性病变不能排除。血化验:Hb13.5克,WBC 13000/mm~3,N74%,L26%。于四月九日行右泪囊囊肿摘除及窦外筛窦探查术。沿泪窦及内上眉弓处行弧形切口,逐层分离至囊壁。至内下方时,刺破囊
Patient, male, 33 years old, farmer. Hospital number 11589. In December 1988, the Ministry of the right internal carotid dilatation and ipsilateral blurred vision, one week after the turn for the better. Nearly half of the recurrence to “right dacryocyst cyst” admission. Check: right eye 0.3, left 1.5. Right eye protrusion degree 16mm, left 11mm. Right orbital medial a 3 × 3cm ~ 2 limitations uplift. Eye movement is not limited. Radiation edema visible in the macular area, texture is unclear, central reflex disappeared. X-ray showed bilateral maxillary sinus, ethmoid density increased, the right ethmoid sinus area expanded. Right “middle turbinate hypertrophy”, near the pus attachment. Nasal septum left deviation. Ethmoid sinus lesions can not be excluded. Blood tests: Hb 13.5 g, WBC 13000 / mm ~ 3, N74%, L26%. On April 9, the right lacrimal sac cyst removal and extra sinus ethmoidectomy were performed. Along the lacrimal sac and tear line at the arc incision, layer separation to the wall. To the bottom below, piercing the capsule